Organization
BRANDENBURG4LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BRANDENBURG MSN, FNP, PMHNP-BC (OWNER/PROVIDER)
(859) 358-2051
Entity
Organization
Contact information
Practice address
1870 BOONESBOROUGH RD, RICHMOND, KY 40475-9323
(859) 358-2051
Mailing address
1870 BOONESBOROUGH RD, RICHMOND, KY 40475-9323
(859) 358-2051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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